Skip to main content

The context you need, when you need it

When news breaks, you need to understand what actually matters — and what to do about it. At Vox, our mission to help you make sense of the world has never been more vital. But we can’t do it on our own.

We rely on readers like you to fund our journalism. Will you support our work and become a Vox Member today?

Join now

Here’s the worst new way inequality is showing up in America

Joe Raedle/Getty Images

We’ve known for a long time that rich people can generally expect to live longer than poor people.

But a new report from the New York Times paints a much starker picture: Not only is there a longevity gap between rich and poor, but the gap is rapidly growing.

Even more so than income, a person’s lifespan is the most basic indicator of well-being, and poor people are losing ground. According to the Times, a 60-year-old in the upper 50 percent of incomes in 1970 could expect to live 1.2 years longer than a 60-yea-old born in the bottom half. By 2001, 60-year-old men in the top half were living 5.8 years longer.

That disparity marks a stark inequality that echoes the growing income gap central to this year’s presidential campaign. Fixing it, the Times suggests, will take much more than formulating new medications or fixing America’s health care system. The problems go much deeper:

At the heart of the disparity, said Elizabeth H. Bradley, a professor of public health at Yale, are economic and social inequities, “and those are things that high-tech medicine cannot fix.”

Here are a few of the most puzzling quandaries the article raises about the disparity in life spans between the rich and poor:

  • The gap can’t be explained away by health care coverage, as surprisingly few deaths result from a lack of coverage.
  • It can’t be obesity, either. Obesity rates between the rich and poor have actually narrowed since 1990.
  • One factor does help explain the phenomenon: Rich people don’t smoke nearly as much as poor people do anymore.
  • The opioid epidemic has also hit impoverished white communities the hardest, a trend that is thought to contribute to the problem.
  • One interesting byproduct of the trend: As rich people live longer they collect more in Social Security benefits, further perpetuating the disparity.

Be sure to read the story in full to get a better sense for the scope of the problem.

Go deeper:

  • Here are 27 charts that explain how we die.
  • Do naked mole rats hold the key to the end of aging?
See More:

More in Politics

The Logoff
Trump’s DOJ wants to undo January 6 convictionsTrump’s DOJ wants to undo January 6 convictions
The Logoff

How the Trump administration is still trying to rewrite January 6 history.

By Cameron Peters
Politics
Donald Trump messed with the wrong popeDonald Trump messed with the wrong pope
Politics

Trump fought with Pope Francis before. He’s finding Pope Leo XIV to be a tougher foil.

By Christian Paz
Podcasts
A cautionary tale about tax cutsA cautionary tale about tax cuts
Podcast
Podcasts

California cut property taxes in the 1970s. It didn’t go so well.

By Miles Bryan and Noel King
Podcasts
Obama’s top Iran negotiator on Trump’s screwupsObama’s top Iran negotiator on Trump’s screwups
Podcast
Podcasts

Wendy Sherman helped Obama reach a deal with Iran. Here’s what she thinks Trump is doing wrong.

By Kelli Wessinger and Noel King
Politics
The Supreme Court could legalize moonshine, and ruin everything elseThe Supreme Court could legalize moonshine, and ruin everything else
Politics

McNutt v. DOJ could allow the justices to seize tremendous power over the US economy.

By Ian Millhiser
The Logoff
The new Hormuz blockade, briefly explainedThe new Hormuz blockade, briefly explained
The Logoff

Trump tries Iran’s playbook.

By Cameron Peters